1 Other Comment

Medicaid and CHIP Program (MACPro) (CMS-10434)

QSSI-MACPro-PRA-I5

GenIC #15 (Transition from 0938-1148) - Medicaid State Plan Eligibility

OMB: 0938-1188

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Medicaid and CHIP Program (MACPro)
I5-Other Comment PRA document
Version 1.0
08/17/2017

Document Number: 195-QSSI-MACPro-PRA-I5-D
Contract Number: HHSM-500-2007-00024I: HHSM-500-T0014

CMS XLC

Table of Contents

Table of Contents
1. I5-Other Comment – Screenshots .......................................................................... 1
1.1

Other Comment – “SAMHSA Consultation” Section ....................................... 1

List of Figures
Figure 1: Other Comment................................................................................................ 1

I5-Other Comment PRA document Version 1.0

i

08/17/2017

CMS XLC

I5-Other Comment – Screenshots

1. I5-Other Comment – Screenshots
1.1

Other Comment – “SAMHSA Consultation” Section

Figure 1: Other Comment

I5-Other Comment PRA document Version 1.0

1

08/17/2017


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